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Acute Respiratory Viral InfectionPhase 3NCT06715891

Clinical Trial of the Efficacy and Safety of Raphamin in the Treatment of ARVI in Children Aged 3-12 Years

A Phase 3 study testing Raphamin in people with Acute Respiratory Viral Infection, run by Materia Medica Holding at 35 sites in Russia.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Multicenter double-blind placebo-controlled randomized in parallel groups clinical trial. Read more about this study

Who is it for?
Ages 3 to 12 years
Conditions the study is for
Acute Respiratory Viral Infection
What is being tested?
Raphamin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
374 participants
Where
35 sitesRussia
Study dates
11 Nov 2024to 31 Dec 2027
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 3 to 12 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Children of either gender aged 3 to12 years .
  • Diagnosis of ARVI based on the medical examination: axillary temperature ≥37.8°C at the time of examination + total severity of general symptom score ≥4 points, nasal/throat/chest symptoms ≥2 points (ARVI Symptom Severity Score).
  • 24 hours from the ARVI onset .
  • Availability of a patient information sheet and an informed consent form for the patient's parents/adopters for patient participation in the clinical trial signed by one parent/adopter of the patient.

Who cannot join

  • Clinical symptoms of severe influenza/ARVI requiring hospitalization.
  • Suspected pneumonia, bacterial infection (including otitis media, sinusitis, urinary tract infection, meningitis, sepsis, etc.) requiring the administration of antibiotics from the first day of disease.
  • Suspected early manifestations of diseases that have onset symptoms similar to those of ARVI (other infectious diseases, influenza-like syndrome at the onset of systemic connective tissue diseases and other pathologies).
  • Patients who require administration of antiviral medications that are prohibited for use in this trial.
  • History or prior diagnosis of primary and secondary immunodeficiency.
  • History/suspicion of oncology of any localization (except for benign neoplasms).
Show all 15Show fewer
  • Exacerbation or decompensation of chronic diseases (diabetes mellitus, cerebral palsy, cystic fibrosis, primary ciliary dyskinesia, bronchopulmonary dysplasia, malformations of the respiratory and ENT organs, etc.) affecting the patient's ability to participate in the clinical trial.
  • Malabsorption syndrome, including congenital or acquired lactase or other disaccharidase deficiency, galactosemia.
  • Allergy/hypersensitivity to any component of the medicines used in the treatment.
  • Use of medications listed under "Prohibited Concomitant Treatment" within 2 weeks prior to inclusion in the trial.
  • Patients whose parents/adopters, from the investigator's point of view, will not comply with the observation requirements during the trial or follow the procedure for taking the test drugs.
  • History of mental illness of the patient (except for attention deficit hyperactivity disorder), parents/adopters of the patient.
  • Participation in other clinical trials within 3 months prior to inclusion in this trial.
  • A patient's parent/adopter is related to any of the on-site research personnel directly involved in the trial, or is the immediate family member of the investigator. 'Immediate family members' mean spouses, parents, children, or siblings, whether related or adopted.
  • The patient's parent/adopter is employed by OOO "NPF "MATERIA MEDICA HOLDING", i.e., is an employee of the company, a temporary contract employee, or a designated official responsible for conducting the trial or their immediate family member.

Trial locations and contacts

35 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Mikhail Putilovskiy, MD,PhD contact

+74952761571 ext. 302

PutilovskiyMA@materiamedica.ru

35 sites in 1 country

Russia35 sites, 34 recruiting
  • Gatchina Clinical Interdistrict Hospital

    Gatchina, 188300

    Asmik Asatryan, MD

    Asmik Asatryan, MD

    Recruiting
  • Kazan State Medical University/Department of Hospital Pediatrics

    Kazan', 420012

    Hakim Vakhitov, MD, PhD

    Hakim Vakhitov, MD, PhD

    Recruiting
  • LLC "MedLight"

    Kazan', 420097

    Alsu Nurmeeva, MD, PhD

    Alsu Nurmeeva, MD, PhD

    Recruiting
  • Regional Clinical Hospital # 2

    Krasnodar, 350012

    Konstantin Lobanov, MD

    Konstantin Lobanov, Konstantin

    Recruiting
  • Specialized Clinical Infectious Diseases Hospital

    Krasnodar, 350015

    Larisa Dubova, MD, PhD

    Larisa Dubova, MD, PhD

    Recruiting
  • Central Research Institute of Epidemiology/Clinical Department of Infectious Pathology

    Moscow, 111123

    Antonina Ploskireva, MD, PhD

    Antonina Ploskireva, MD, PhD

    Recruiting
  • Morozovskaya Children's City Clinical Hospital of the Moscow City Health Department

    Moscow, 119049

    Alexey Rtishchev, MD, PhD

    Alexey Rtishchev, MD, PhD

    Recruiting
  • First Moscow State Medical University named after I.M. Sechenov/Department of Childhood Diseases

    Moscow, 119991

    Natalia Geppe, Prof.

    Natalia Geppe, Prof.

    Recruiting
  • Llc "Diagnostics and Vaccines"

    Moscow, 129515

    Terminated
  • LLC "Health Laboratory"

    Mytishchi, 141002

    Evgeniya Uleva, MD

    Evgeniya Uleva, MD

    Not yet recruiting
  • Novosibirsk State Medical University/Clinic "Medical Advisory Center"

    Novosibirsk, 630091

    Elena Kondyurina, Prof.

    Elena Kondyurina, Prof.

    Recruiting
  • Omsk State Medical University/Department of Hospital Pediatrics with a Course of Continuing Professional Education

    Omsk, 644099

    Elena Pavlinova, Prof.

    Elena Pavlinova, Prof.

    Recruiting
  • City Children's Clinical Polyclinic # 5

    Perm, 614066

    Olga Perminova, MD, PhD

    Olga Perminova, MD, PhD

    Recruiting
  • LLC "Professor's Clinic"

    Perm, 614070

    Svetlana Teplykh, MD, PhD

    Svetlana Teplykh, MD, PhD

    Recruiting
  • LLC "4D Ultrasound Clinic"

    Pyatigorsk, 357502

    Galina Dulova, MD

    Galina Dulova, MD

    Recruiting
  • Clinical and diagnostic center "Health"

    Rostov-on-Don, 344011

    Alexey Sarychev, MD, PhD

    Alexey Sarychev, MD, PhD

    Recruiting
  • LLC "Eurodon Clinic"

    Rostov-on-Don, 344022

    Anna Savisko, MD, PhD

    Anna Savisko, MD, PhD

    Not yet recruiting
  • Rostov State Medical University/Department of Childhood Diseases # 2

    Rostov-on-Don, 344022

    Stanislav Maltsev, MD, PhD

    Stanislav Maltsev, MD, PhD

    Not yet recruiting
  • Rostov State Medical University/Department of Childhood Diseases # 3

    Rostov-on-Don, 344022

    Marina Lukashevich, MD, PhD

    Marina Lukashevich, MD, PhD

    Not yet recruiting
  • Ryazan State Medical University named after Academician I.P. Pavlov/Department of Children's Diseases with a course in hospital pediatrics

    Ryazan, 390026

    Andrey Dmitriev, MD, PhD

    Andrey Dmitriev, MD, PhD

    Recruiting
  • Children's City Polyclinic # 44

    Saint Petersburg, 191144

    Andrey Kamaev, Md, PhD

    Andrey Kamaev, Md, PhD

    Recruiting
  • Saint Petersburg State Pediatric Medical University/Department of Infectious Diseases of Adults and Epidemiology

    Saint Petersburg, 194100

    Elena Esaulenko, Prof.

    Elena Esaulenko, Prof.

    Recruiting
  • Children's City Polyclinic # 35

    Saint Petersburg, 196191

    Tatiana Antonova, MD, PhD

    Tatiana Antonova, MD, PhD

    Recruiting
  • City Polyclinic # 3

    Saint Petersburg, 199155

    Gleb Kondratiev, MD

    Gleb Kondratiev, MD

    Not yet recruiting
  • City Polyclinic # 4

    Saint Petersburg, 199178

    Natalia Soroka, MD, PhD

    Natalia Soroka, MD, PhD

    Not yet recruiting
  • Samara Regional Children's Clinical Hospital named after N.N. Ivanovoy/Department of Medical Rehabilitation

    Samara, 443079

    Tatiana Romanova, MD, PhD

    Tatiana Romanova, MD, PhD

    Recruiting
  • Samara State Medical University/Department of Hospital Pediatrics

    Samara, 443099

    Liliya Mazur, Prof.

    Liliya Mazur, Prof.

    Recruiting
  • National Research Mordovian State University named after N.P. Ogarev/Department of Pediatrics/

    Saransk, 430005

    Larisa Balykova, Prof.

    Larisa Balykova, Prof.

    Recruiting
  • Saratov City Children's Clinical Hospital

    Saratov, 410064

    Elena Mikhailova, Prof.

    Elena Mikhailova, Prof.

    Recruiting
  • Smolensk State Medical University/Department of Children's Diseases of the Medical and Dental Faculties

    Smolensk, 214019

    Vladimir Bekezin, Prof.

    Vladimir Bekezin, Prof.

    Recruiting
  • Bashkir State Medical University/Department of Outpatient and Emergency Pediatrics

    Ufa, 450008

    Lyudmila Yakovleva, Prof.

    Lyudmila Yakovleva, Prof.

    Recruiting
  • Yaroslavl State Medical University/Department of Pediatrics, Institute of Continuous Professional Education

    Yaroslavl, 150000

    Elena Shubina, MD, PhD

    Elena Shubina, MD, PhD

    Recruiting
  • Clinical Hospital # 2

    Yaroslavl, 150030

    Irina Melnikova, Prof.

    Irina Melnikova, Prof.

    Recruiting
  • Children's City Clinical Hospital # 11 Ekaterinburg

    Yekaterinburg, 620028

    Sofia Tsarkova, Prof.

    Sofia Tsarkova, Prof.

    Recruiting
  • Ural State Medical University/Department of Infectious Diseases, Phthisiology and Pulmonology

    Yekaterinburg, 620028

    Alebay Sabitov, Prof.

    Alebay Sabitov, Prof.

    Recruiting

Other trials in Russia

About this study

Official title: A Multicenter, Double-blind, Placebo-controlled, Randomized, Parallel-group Clinical Trial of the Efficacy and Safety of Raphamin in the Treatment of Acute Respiratory Viral Infection in Children Aged 3-12 Years

Multicenter double-blind placebo-controlled randomized in parallel groups clinical trial.

Read the detailed description

Design: a multicenter, double-blind, placebo-controlled, randomized, parallel-group clinical trial.

The trial will enroll outpatients of either gender aged 3 to 12 years with clinical manifestations of acute respiratory viral infection (ARVI) within the first 24 hours after the disease onset. Patient enrollment will be conducted in 2 stages during the seasonal incidence of ARVI. First, children aged 6-12 years will be enrolled in the trial. Once the required number of patients is reached, an "unblinded" interim analysis with the primary efficacy endpoint assessment and safety analysis will be performed. Based on the data from the unblinded interim analysis, a decision will be made whether the age range of enrollment can be expanded from 3 to 12 years. Patient enrollment will not be stopped until the results of the "unblinded" interim analysis are available.

After the parent/adopter signs the information sheet and informed consent form for the patient's parents/adopters to participate in the clinical trial, the medical history will be collected, thermometry, objective examination, laboratory tests will be performed, and concomitant therapy will be recorded. The severity of ARVI symptoms will be assessed using a 4-point scale.

The nasopharyngeal swabs for PCR diagnosis and verification of respiratory viruses will be performed prior to therapy to confirm the viral etiology of ARVI.

If a patient meets all inclusion criteria and does not have any exclusion criteria, at Visit 1 (Day 1), they will be randomized into one of two groups: Group 1 patients will receive Raphamin according to the dosage regimen for 5 days; Group 2 patients will receive Placebo using the Raphamin dosage regimen for 5 days.

The trial will utilize an electronic patient diary (EPD) where the patient will make daily records of morning and evening axillary body temperature (measured with a classic mercury-free thermometer) and symptoms of the disease (ARVI Symptom Severity Score). In addition, antipyretic dosing (if applicable) as well as any possible worsening of the patient's condition (if applicable, to assess safety / to record adverse events) will also be recorded in the patient diary. The investigator will instruct the parent/adopter on how to complete the diary. At Visit 1, the parent/adopter together with the physician will record the severity of ARVI symptoms and body temperature in the diary.

The patient will be observed for 14 days (screening, randomization - up to 1 day, treatment - 5 days, follow-up - up to 2 days; deferred "phone visit" - day 14).

During the treatment and follow-up period, patients/physicians will pay 3 visits, and the fourth "phone visit" will be scheduled additionally: 1) physician/patient visits - on days 1, 5 and 7 (Visits 1, 2 and 3) - at the health center or at home; 2) a phone "visit" by the physician (Visit 4) - on day 14.

During Visits 2 and 3, the physician will perform objective examination, record changes in the disease symptoms, concomitant therapy, and monitor the completion of the diary. During Visit 3, compliance will be assessed and laboratory tests will be performed.

A phone "visit" will be performed to interview the parent/adopter about the patient's condition, presence/absence of secondary bacterial/viral complications, and use of antibiotics.

Symptomatic therapy and therapy for concomitant diseases will be permitted during the trial except for the drugs listed under "Prohibited Concomitant Treatment".

Being tested
Raphamin, Placebo
Keywords
respiratory viral infection, children, aged 3-12 years

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RaphaminDrug

    Also called MMH-407

    Tablet for oral use.

  • PlaceboDrug

    Tablet for oral use.

Study groups in NCT06715891
Study groupRoleWhat they receive
RaphaminExperimentalPer os without food. The tablet should be kept in mouth until completely dissolved. On day 1 of treatment, 8 tablets should be taken using the following regimen: 1 tablet every 30 minutes for the first 2 hours (5 tablets in total for 2 hours), then 1 more tablet 3 times at equal intervals during the same day. On day 2 and onwards, 1 tablet should be taken 3 times a day. The duration of treatment is 5 days.
Receives: Drug: Raphamin
PlaceboPlacebo comparatorPlacebo using the Raphamin dosage regimen.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time to resolution of ARVI symptoms (PCR-confirmed)

    Time from recording the disease symptoms at Visit 1 until resolution of the disease symptoms.

    Resolution of ARVI symptoms will be defined if axillary temperature is ≤37.3°C for 24 hours (without further increase during observation period) + lack/presence of ARVI general symptoms ≤2 points. Based on the patient's diary.

    Measured: 14 days

Secondary outcomes (15)
  1. ARVI severity (clinically diagnosed, including PCR-confirmed)

    Вased on the area under curve (AUC) results for the total severity score. The total disease severity score will be calculated based on the severity of each of the ARVI symptoms (body temperature, general symptoms, and nasal/throat and chest symptoms in points). To calculate the total score, absolute values of body temperature measured in degrees Celsius will be converted into relative units (or points) based on the following classification: ≤37.3°C=0 points; 37.4-38.0°C=1 point; 38.1-39.0°C=2 points; ≥39.1°C =3 points.

    Measured: From day 1 to day 6

  2. Percentage of patients with resolution of ARVI symptoms

    Clinically diagnosed, including PCR-confirmed. Based on medical records.

    Measured: 14 days

  3. Time to resolution of ARVI symptoms

    Clinically diagnosed, including PCR-confirmed. Based on medical records.

    Measured: 14 days

  4. Percentage of patients with resolution of ARVI symptoms (PCR-confirmed)

    Based on medical records.

    Measured: 14 days

  5. Dosing frequency of antipyretics

    Based on the patient's diary.

    Measured: From day 1 to day 3

  6. Percentage of patients with worsening of the disease

    Development of complications requiring antibiotics or hospitalization.

    Measured: From day 4 to day 14

  7. Number of Participants With Adverse Events (AEs)

    Presence and nature of adverse events during therapy. Based on medical records.

    Measured: From day 1 to day 6

  8. Severity of AEs

    The intensity (severity) of adverse events. Based on medical records.

    Measured: From day 1 to day 6

  9. Causal Relationship of AEs to the Sudy Drug

    The causal relationship to the study drug of adverse events. Based on medical records.

    Measured: From day 1 to day 6

  10. Outcome of AEs

    The outcome of adverse events. Based on medical records.

    Measured: From day 1 to day 6

  11. Changes in Vital Signs (Blood Pressure) measured in mm Hg

    Blood Pressure measured in mm Hg. Based on medical records.

    Measured: On Visit 1 (day 1), Visit 2 (day 5) and Visit 3 (day 7)

  12. Changes in Vital Signs (Heart Rate)

    Pulse Rate measured in beats per minute. Based on medical records.

    Measured: On Visit 1 (day 1), Visit 2 (day 5) and Visit 3 (day 7)

  13. Changes in Vital Signs (Breathing Rate)

    Respiratory Rate measured in breaths per minute. Based on medical records.

    Measured: On Visit 1 (day 1), Visit 2 (day 5) and Visit 3 (day 7)

  14. Changes in Vital Signs (Axillary temperature)

    Temperature is measured in the armpit using a classic mercury-free thermometer. Based on medical records.

    Measured: On Visit 1 (day 1), Visit 2 (day 5) and Visit 3 (day 7)

  15. Percentage of Patients With Clinically Significant Abnormal Laboratory Tests

    Measure is based on the Hematology, blood chemistry, and urinalysis parameters, which are beyond the reference values.

    Measured: On Visit 1 (day 1) and Visit 2 (day 5)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Dec 2024
  2. Study start11 Nov 2024
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Double-blind, placebo-controlled, randomized, parallel-group
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
374 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06715891
Sponsor's protocol ID
MMH-407-010
Status last verified
Mar 2026
First submitted
29 Nov 2024
Last updated
13 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Raphamin in people with Acute Respiratory Viral Infection, run by Materia Medica Holding at 35 sites in Russia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 13 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 35 sites in Russia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Mikhail Putilovskiy, MD,PhD (+74952761571 ext. 302, PutilovskiyMA@materiamedica.ru), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time to resolution of ARVI symptoms (PCR-confirmed) (time frame: 14 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Mar 2026.

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